Active NPI
Stacy Louise Hobbs, RN
- Registered Nurse
- Appleton, WI
National Provider Identifier
1043853856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 245493-30
- Practice address
- 3121 W Spencer St Ste 170
Appleton, WI 54914-4323 - Phone
- (920) 940-8095
- NPI assigned
- Oct 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 245493-30 | WI | Primary |
Addresses
Primary practice location
3121 W Spencer St Ste 170
Appleton, WI 54914-4323
Mailing address
1749 Marissa CT
De Pere, WI 54115-7409
Phone (920) 396-9929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245493-30 | Other | WI | REGISTERED NURSE LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CompassionateCareWI@Gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245493-30 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Careers Academy of Northeast Wisconsin LLC | Registered Nurse | Current | Accepting new patients |
Locations
3121 W Spencer St
Ste 170
Appleton, WI 54914
Phone (920) 940-8095
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Nurse
- Appleton, WI
- NPI 1255176251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719705600000",
"number": "1043853856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 MARISSA CT",
"city": "DE PERE",
"state": "WI",
"postal_code": "541157409",
"telephone_number": "920-396-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 W SPENCER ST STE 170",
"city": "APPLETON",
"state": "WI",
"postal_code": "549144323",
"telephone_number": "920-940-8095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "STACY",
"middle_name": "LOUISE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "WI",
"license": "245493-30",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE NUMBER",
"identifier": "245493-30",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CompassionateCareWI@Gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "1266 Crown Ct",
"city": "DE Pere",
"state": "WI",
"country_code": "US",
"postal_code": "541153814",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.